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Data Management: Oversee the collection, processing, and utilization of data for training the chatbot, ensuring sensitivity and compliance with data protection regulations. Minimum of 5 years of experience in cloud infrastructure design and management, with a strong focus on Microsoft Azure.
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Minimum of 2 years of experience working in healthcare, with a focus on denials management, appeals, or utilization review. denials management, appeals, or utilization review: 2 years (Required.
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Good knowledge and working experience on US Health-care Payer E2E Claims Adjudication , Provider Data Management, Member Enrollment, Care Management, HEDIS, Poupulation Health, and Billing.
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Reinsurance Claims Analyst. Our client is seeking an accomplished claims professional to technically manage an assigned workload of global Property and Casualty multi-line reinsurance claims, ensuring all claims are handled in accordance with regulatory guidelines, while applying Company and Best Practices.
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The ideal candidate will have 15 or more years of experience as a lawyer and/or claim professional with a high degree of specialized and technical competence in litigation management and the handling of complex coverage issues, high exposure and/or long term exposure claims and coverage litigation.
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As an Employee Relations Consultants you will be responsible for counseling on a wide range of employment-related matters, including negotiating employment terms for new hires, overseeing the performance management process, and advising on terminations, reductions-in-force, and business restructures alongside partnering with the Benefits Team to manage disability claims as they impact ongoing employment and the Rewards Team on executive compensation issues.
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Lead the strategic implementation and optimization of all marketing systems and platforms with a focus on digital asset management (DAM) systems, ensuring the efficient organization, retrieval, and utilization of the company's vast library of visual assets.
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Analyze issues using enrollment, utilization, clinical, medical management, financial and other corporate data, and information from both modeled internal data as well as disparate internal and external sources.
$86,000 - $165,000 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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This position is for an Auto Estimator, handling claims resulting in property damage to vehicles. Claims Appraiser - Auto Estimatics. You may be the first point of contact to meet with our insureds, explain coverage, estimate vehicle damage, and help them through the claims process while providing Remarkable® service.
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Handle General Liability / Bodily Injury, Property, Commercial Auto Liability and/or Physical Damage, Workers Compensation, Inland Marine, Professional / Management Liability, Business Interruption, Liquor Liability, Garage/Garagekeepers Legal Liability or Umbrella claims.
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Collaborate with IT and other relevant stakeholders to evaluate, select, and integrate digital asset management (DAM) systems and other technological solutions that align with the unique needs and objectives of the photo studio.
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2+ years of experience within hospital billing/claims processing, revenue cycle operations, revenue metrics and analytics, and revenue management or consulting experience. A Master's degree in public administration or business administration, or in an equivalent or equally acceptable program, and four (4) years of satisfactory, full-time paid experience in a major governmental agency or large corporation or foundation in management analysis or in operational direction, planning, coordination or control of which two (2) years must have been in a supervisory, administrative or consultative capacity; or.
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Resilience is seeking a highly-motivated cyber insurance or privacy attorney to join itsglobal Claims and Incident Management team. Apply expertise in insurance contracts, claims investigations, and vendor management to recommend appropriate claim reserves.
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Customer Success Specialist (Bilingual Spanish) Customer Success Specialist (Bilingual Spanish)
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It involves the direction and oversight of all office space planning, utilization and management including, without limitation, the management of all associated construction and purchase of furniture and fixtures associated with small, medium, and large-scale office construction projects.
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claims utilization management jobs Company: Metroplus Health Plan in Bronx, NY
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Virtual Reality Job Interviews
With the advent of desktop computers, the arduous task of scouring through weekly job classifieds became a thing of the past. The mid-1990s brought about a new era where job seekers could easily search and apply for jobs online. The introduction of AOL's Instant Messaging feature provided an even faster means for employers and candidates to communicate and schedule interviews. As smartphones became more pervasive in the early 2000s, hiring managers increasingly used phone calls for screening and interviewing candidates. Despite this trend, over 80% of interviews still took place in person.
A Potential TikTok Ban?!
As you may already know, there has been a lot of talk lately about the possibility of a TikTok ban. While this has not yet come to fruition, it's important to consider the implications this could have for businesses and recruiters who rely on TikTok as a platform to market their brand, recruit new talent, and connect with their audience.
The Effects of Workplace Racism and Sexism
One day it's a covert statement to a mother returning to work after maternity leave. Another day it's a lingering gaze at an employee enjoying a culturally rich meal. These microaggressions (or sometimes macroaggressions) can take an employee from a confident, high-performer to one that feels insecure being themselves at work. Your employees engage with people with different ideas and feel most comfortable and valued when they can work without losing their cultural, racial, and gender identity. While most employers know this, why have workplace racism and sexism often been neglected?
When Rage Applying Strikes: How to Identify Unserious Candidates
As the job market remains highly competitive, we have seen a surge in "rage applying." This is when candidates apply to multiple jobs, often without considering whether they are truly interested in the role. Rage applying goes hand-in-hand with quiet quitting. Often, employees want to entertain the thoughts and feelings of leaving their job, but they aren't necessarily serious about leaving yet. Meanwhile, other employees engaging in this trend are actually trying to find a better role. As a recruiter, it can be hard to identify who are the real applicants in a sea full of quiet quitters, but understanding rage applying and identifying red flags will certainly help.
How to Increase Job Ad Exposure
In today's competitive job market, writing quality job ads is critical for attracting top talent to your organization. While networking and candidate referrals are prime real estate for finding qualified candidates, nothing beats the tried-and-true method of writing an extraordinary job ad. But while writing a great job ad is the first step, what's more important is increasing visibility. You could have the most detailed, well-written ad on the internet, but if no one sees it, then you are wasting time (and potentially money!). Employers often believe that job boards are the root of the problem, but you can learn how to increase job ad exposure by tweaking a few steps of your recruitment process.
How to Navigate Hiring Out of State
The job market has shifted significantly in recent years. The accelerated adoption of technology has not only pushed many companies into remote working arrangements but also increased the availability of supporting tools and technologies (i.e., video conferencing and collaboration software).